Humana
2 days ago Be among the first 25 applicants
This range is provided by Humana. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.
Base pay range $71,100.00/yr - $97,800.00/yr
Become a part of our caring community and help us put health first The DSNP Senior Provider Engagement Professional plays a critical role in managing operational processes, compliance activities, and provider engagement for the DSNP plans. This position ensures accurate program tracking, supports payer relationships, facilitates training and communication across internal and external stakeholders. The DSNP Senior Provider Engagement Professional supports positive, long‑term relationships with brokers, healthcare systems, state government and community‑based organizations, and other health plans in order to support and improve the strategy and quality performance within the DSNP population in the Intermountain Region.
Key Responsibilities
Track program activity and maintain accurate policies and procedures.
Support payer partnerships through meeting coordination and presentation development.
Lead training efforts for internal teams and external stakeholders.
Collaborate with partners to resolve plan issues and support member communications.
Manage system access for state platforms and oversee compliance projects.
Ensure timely updates to provider manuals and websites.
Maintain contact lists, handle data files, and provide backup support for program communications.
Issue required notices to long‑term services and supports when criteria are met.
Coordinate support with complex hospital discharge cases.
Perform additional duties as assigned to keep the DSNP programs running effectively.
Required Qualifications
Bachelor’s degree, preferably in healthcare administration, public health, health informatics, social services, nursing, business administration or other related field.
3 years of experience in managed care, DSNP programs, health home operations, network management, provider relations, or work with state health agencies/community organizations.
In‑depth knowledge of CMS and state regulations for DSNP, Medicare/Medicaid, and related programs.
Strong organizational and communication skills with the ability to manage diverse stakeholders.
Skilled in planning, preparation, and delivering presentations with proven ability to handle multiple projects and meet deadlines with attention to detail.
Proficiency in healthcare systems and Microsoft Office Suite.
Passion for contributing to an organization focused on continuously improving consumer experiences.
Preferred Qualifications
Master’s Degree, preferably in a healthcare‑related field.
Experience with project management tools and methodologies.
Advanced knowledge of CMS compliance audits and state regulatory processes.
Familiarity with payer relations and contract management.
Strong data analysis and reporting skills for program performance metrics.
Experience developing training programs and leading stakeholder education sessions.
Demonstrated ability to lead cross‑functional teams and drive process improvements.
Additional Information – Work At Home / Internet Statement
At minimum, a download speed of 25 Mbps (download) and 10 Mbps (upload) is required; wireless, wired cable, or DSL connection is suggested.
Satellite, cellular, and microwave connections can be used only if approved by leadership.
Employees who live and work from home in the state of California, Illinois, Montana, or South Dakota will be provided a bi‑weekly payment for their internet expense.
Humana will provide home or hybrid home/office employees with telephone equipment appropriate to meet the business requirements for their position/job.
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
SSN Alert Statement: Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.
Travel: While this is a remote position, occasional travel to Humana’s offices for training or meetings may be required.
Scheduled Weekly Hours 40
Description Of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole‑person well‑being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short‑term and long‑term disability, life insurance and many other opportunities.
Application Deadline: 01-09-2026
About Us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
#J-18808-Ljbffr
This range is provided by Humana. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.
Base pay range $71,100.00/yr - $97,800.00/yr
Become a part of our caring community and help us put health first The DSNP Senior Provider Engagement Professional plays a critical role in managing operational processes, compliance activities, and provider engagement for the DSNP plans. This position ensures accurate program tracking, supports payer relationships, facilitates training and communication across internal and external stakeholders. The DSNP Senior Provider Engagement Professional supports positive, long‑term relationships with brokers, healthcare systems, state government and community‑based organizations, and other health plans in order to support and improve the strategy and quality performance within the DSNP population in the Intermountain Region.
Key Responsibilities
Track program activity and maintain accurate policies and procedures.
Support payer partnerships through meeting coordination and presentation development.
Lead training efforts for internal teams and external stakeholders.
Collaborate with partners to resolve plan issues and support member communications.
Manage system access for state platforms and oversee compliance projects.
Ensure timely updates to provider manuals and websites.
Maintain contact lists, handle data files, and provide backup support for program communications.
Issue required notices to long‑term services and supports when criteria are met.
Coordinate support with complex hospital discharge cases.
Perform additional duties as assigned to keep the DSNP programs running effectively.
Required Qualifications
Bachelor’s degree, preferably in healthcare administration, public health, health informatics, social services, nursing, business administration or other related field.
3 years of experience in managed care, DSNP programs, health home operations, network management, provider relations, or work with state health agencies/community organizations.
In‑depth knowledge of CMS and state regulations for DSNP, Medicare/Medicaid, and related programs.
Strong organizational and communication skills with the ability to manage diverse stakeholders.
Skilled in planning, preparation, and delivering presentations with proven ability to handle multiple projects and meet deadlines with attention to detail.
Proficiency in healthcare systems and Microsoft Office Suite.
Passion for contributing to an organization focused on continuously improving consumer experiences.
Preferred Qualifications
Master’s Degree, preferably in a healthcare‑related field.
Experience with project management tools and methodologies.
Advanced knowledge of CMS compliance audits and state regulatory processes.
Familiarity with payer relations and contract management.
Strong data analysis and reporting skills for program performance metrics.
Experience developing training programs and leading stakeholder education sessions.
Demonstrated ability to lead cross‑functional teams and drive process improvements.
Additional Information – Work At Home / Internet Statement
At minimum, a download speed of 25 Mbps (download) and 10 Mbps (upload) is required; wireless, wired cable, or DSL connection is suggested.
Satellite, cellular, and microwave connections can be used only if approved by leadership.
Employees who live and work from home in the state of California, Illinois, Montana, or South Dakota will be provided a bi‑weekly payment for their internet expense.
Humana will provide home or hybrid home/office employees with telephone equipment appropriate to meet the business requirements for their position/job.
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
SSN Alert Statement: Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.
Travel: While this is a remote position, occasional travel to Humana’s offices for training or meetings may be required.
Scheduled Weekly Hours 40
Description Of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole‑person well‑being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short‑term and long‑term disability, life insurance and many other opportunities.
Application Deadline: 01-09-2026
About Us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
#J-18808-Ljbffr